December 9, 2009

A breakthrough at 6 months, 3 weeks: The No Cry Sleep Solution

Roscoe's Pediatric office has three locations. The one closest to us happens to be the oldest, the busiest, and the most run-down. We also haven't yet found a provider in the practice who we really like. On recommendation we made an appointment with Dr. Kaplan at the Lorton office which is sparkling new, but because he has such a loyal following, the earliest appointment we could snag was today.

Roscoe's "6 month" appointment (at 6 months, 3 weeks ) was quite eventful.

Roscoe was vaccinated against H1N1 and Influenza (yay!), as well as DTaP, and PCV. They don't like to give more than 4 vaccines at any one visit, so we made another appointment six weeks from now to complete the original 6 month immunization schedule, and the second doses of the two influenza vaccines.

Roscoe now weighs...wait for it... 14 pounds (!). First the 8th percentile, then the 5th, then the 3rd, and now the 1st--which led to a lengthy discussion that covered nursing, solids, and sleep.

The bottom line is that there is value in encouraging Roscoe to go longer between nursings. Specifically, the doc suggested Roscoe nurse approximately every 4 hours--which seems like a stretch to me--but it's a goal that we can work toward, especially now that he is eating solids regularly.

The idea is to feed him solids in between nursing so that he eats every 2 hours, but nurses only every four. This will hopefully translate to Roscoe ingesting a greater quantity of milk (particularly hind milk) at each feed, which will help him stay satisfied for increasingly longer periods of time. And if we are very lucky, this may also facilitate fewer night wakings and subsequent feedings, and result in better sleep for everyone.

Also, the fact that Roscoe wakes up approximately every hour means that his sleep cycles are being cut way short and that he may in fact be overtired much of the time, which could explain his high maintenance tendencies. If we can help him learn to nurse less frequently we may ultimately alleviate several of our problem issues.

Our visit today with Dr. Kaplan was the very first in which we felt respected and supported by our provider, and engaged in a dialogue that had our family's best interests at the heart of it.

The past 6 months have been pretty exhausting and we're the first to admit that we haven't had the energy to implement change even when we wanted to. Our eyebrows are raised with anticipation for what this new approach might mean and we're looking forward to getting started.

3 comments:

  1. Wow! This sounds promising!! Sounds like maybe he is grumpy because of other things and not because he is a grumpy little guy at heart!! lol I hope everything works out!! See you this weekend!! CoOOOooOOkIE TIME!!

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  2. I can TOTALLY relate to Roscoe. I like to eat frequently, and I get extremely irritable when I don't, or when I go for long periods without a good night's sleep! :)
    P.S. What is "hind milk"? Sounds yucky! :-P

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  3. J- I am so happy for you guys! Since I am going through the same thing, I look forward to catching up in January. All our trips keep throwing Lillian for a loop as her naps are irregular. That makes sense about nursing every 4 hrs. So far, I am nursing more at night! My laziness...ok so we both have work to do! :)

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